1. SouthEast Texas Regional Advisory Council National Flood Workshop Houston Texas 2012 1

2. Purpose Introduction of Regional Advisory Councils. Regional Assets of Trauma Service Area – Q. Mitigation of the loss of life and property through early meteorological predictions for Healthcare Communities. 2

3. What does the rest of the U.S. think when Texas says, Disaster? 3

4. 4

5. Texas is divided into 22 “Trauma Service Areas” or “TSA’s”. Houston and surrounding 9 counties is TSA-Q or RAC Q: Austin, Colorado, Fort Bend, Harris, Matagorda, Montgomery, Walker, Waller, and Wharton counties. South East Texas Regional Advisory Council (SETRAC) is the organization that is the “contractor” and administrator of ASPR, Trauma, County, and Tobacco settlement funds. These funds are utilized for a variety of purposes to include providing regional cooperative planning for Stroke, Trauma, Cardiac, and Healthcare Provider Preparedness programs. 5

6. SETRAC is a non-profit company 501 (c)(3). It is a direct contractor for the Texas Department of Health and Human Services. Coordinates PLANNING, RESPONSE, and RECOVERY for more than 107 hospitals in the region. Also works with fire, EMS, dialysis, nursing homes/DADS, City/County OEMs. Coordinates with the Regional Hospital Preparedness Council the (RHPC) staffing and training of the Catastrophic Medical Operations Center (CMOC). 6

7. 9 counties. Large enough to be the 36 th largest state in the United States. Area is larger than Israel. 22 nd largest economy in world. Population – 5,371,914* 107 Hospitals (Varying Specialties) 126 Licensed Nursing Facilities** 376 Licensed Assisted Living Facilities** *2010 - U.S. Census **2011 - DADS Trauma Service Area - Q 7

8. Regional Resources 8

9. Mobile Medical Assets Cache RCVQ 9

10. MPV 601 Mobile Medical Assets Cache 10

11. MPV 602 Mobile Medical Assets Cache 11

12. PSTQ Mobile Medical Assets Cache 12

13. PSTT-1 Mobile Medical Assets Cache 13

14. SAT-1 Mobile Medical Assets Cache 14

15. MTS-1 Mobile Medical Assets Cache 15

16. D.R.E.A.M.S. Satellite Mobile Medical Assets Cache 16

17. Regional Supply Cache Mobile Medical Assets Cache 17

18. Pharmaceutical Supply Cache Mobile Medical Assets Cache 18

19. Mobile Field Hospital Mobile Medical Assets Cache 19

20. Mobile Field Hospital (EMTF-6) Mobile Medical Assets Cache 20

21. Technological Assets EMTrack 21

22. 22

23. Healthcare Emergencies 23

24. Catastrophic Medical Operations Center 21 Counties 177 cities 6.3 Million (27%) 877,000 with “Special Needs” (24%) 122 hospitals 550+ nursing homes 24

25. Tropical Storm Allison Houston, Texas (June 2001) 25

26. Hurricane Katrina Houston, Texas (August 2005) Largest Patient Reception in US History 26

27. Hurricane Rita Texas Gulf Coast (September 2005) Largest Mass Evacuation in US History 27

28. Hurricane Ike Galveston, Texas (September 2008) Largest EMS Deployment in US History 28

29. Texas Wildfires Texas (September 2011) 29

30. Emergency Medical Task Force 30

31. “A Coordinated Response to Large Scale Incidents” The goal of the EMTF program is to provide a well coordinated response, offering rapid professional medical assistance to emergency operation systems during large scale incidents. The four components are: Ambulance Strike Teams (5 per Region) Mobile Medical Unit Teams (1 per Region) Ambulance Bus Teams (2 per Region) RN Nurse Strike Teams (5 per Region) Texas has worked collaboratively with the eleven (11) Public Health Regions and the twenty-two (22) Regional Advisory Councils to identify eight (8) EM- TF regions in Texas. 31

32. * Federal Emergency Management Agency (http://www.fema.gov/business/nfip/statistics/pcstat.shtm) Flood Insurance Claims 1978 - 2011 32

33. Weather Related Fatalities * National Weather Service (http://www.nws.noaa.gov/om/hazstats.shtml) 33

34. Questions? Russell Kaiser Director of Preparedness SouthEast Texas Regional Advisory Council 34